Valley-Wide Health Systems, INC
Valley-Wide Health Systems, INC was paid $4.64M by Medicaid between Jan 2018 and Oct 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
ROCKY FORD, CO 81067
Next to other Dental Clinic/Center providers in Colorado
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,086 | $594K | |
| 2019 | 7,787 | $970K | |
| 2020 | 6,137 | $814K | |
| 2021 | 5,731 | $730K | |
| 2022 | 4,328 | $648K | |
| 2023 | 2,907 | $413K | |
| 2024incomplete | 2,780 | $473K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 13,229 | 10,661 | $2.28M |
| D0999 | Unspecified diagnostic procedure, by report | 30% | 4,323 | 2,962 | $1.39M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13% | 3,646 | 3,172 | $598K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 524 | 433 | $90K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 261 | 234 | $53K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 505 | 163 | $42K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,188 | 1,159 | $36K |
| D0140 | Limited oral evaluation - problem focused | <1% | 857 | 677 | $27K |
| D1110 | Prophylaxis - adult | <1% | 380 | 259 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 409 | 255 | $19K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,214 | 1,866 | $16K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 943 | 761 | $10K |
27 more codes
| D0120 | Dental checkup, returning patient | <1% | 338 | $9K |
| D0274 | Bitewings - four radiographic images | <1% | 183 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 53 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 32 | $5K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 366 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $3K |
| D1120 | Dental cleaning, child | <1% | 57 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 709 | $2K |
| 99000 | <1% | 2,443 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 52 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 151 | $1K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 394 | $938.85 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 98 | $503.79 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 28 | $312.95 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $310.88 |
| D0270 | 0% | 46 | $0.00 | |
| 81002 | 0% | 114 | $0.00 | |
| 82947 | 0% | 161 | $0.00 | |
| 90662 | 0% | 16 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 76 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 282 | $0.00 |
| 90686 | 0% | 542 | $0.00 | |
| Q2039 | Influenza virus vaccine, not otherwise specified | 0% | 26 | $0.00 |
| 90656 | 0% | 33 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Valley-Wide Health Systems, INC | La Junta, CO | $16.17M |
| Valley-Wide Health Systems, INC | Alamosa, CO | $10.76M |
| Valley-Wide Health Systems, INC | Monte Vista, CO | $7.28M |
| Valley-Wide Health Systems, INC | Alamosa, CO | $5.79M |
| Valley-Wide Health Systems, INC | Alamosa, CO | $5.65M |
| Valley-Wide Health Systems, INC | Alamosa, CO | $5.65M |
| Valley-Wide Health Systems, INC. | Canon City, CO | $4.47M |
| Valley-Wide Health Systems, INC | La Jara, CO | $4.24M |
| Valley-Wide Health Systems, INC | Las Animas, CO | $4.22M |
| Valley-Wide Health Systems, INC | Center, CO | $2.92M |
| Valley-Wide Health Systems, INC | San Luis, CO | $1.67M |
| Valley-Wide Health Systems, INC. | Ordway, CO | $1.25M |
| Valley-Wide Health Systems, INC | Center, CO | $1.22M |
| Valley-Wide Health Systems, INC | Antonito, CO | $1.01M |
| Valley-Wide Health Systems, INC. | Buena Vista, CO | $922K |
| Valley-Wide Health Systems, INC | Moffat, CO | $399K |
| Valley-Wide Health Systems, INC. | Canon City, CO | $383K |
| Valley-Wide Health Systems, INC. | Alamosa, CO | $338K |
| Valley-Wide Health System, INC. | Alamosa, CO | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.